Mcdaniel, Susan Holmes
Mcdaniel, Susan Holmes is an individual health care provider with primary practice located at 777 S Clinton Ave , Rochester NY 14620-1401. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mcdaniel, Susan Holmes can be contacted via phone (585) 279-4820.Contact Information
Primary practice address
777 S Clinton Ave
Rochester NY 14620-1401
Phone: (585) 279-4820
Fax: (585) 442-8319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6699 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0006699 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0006699 | New York |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0006699 | New York |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1003874207 |
|---|---|
| LBN Legal business name | Mcdaniel, Susan Holmes |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003874207 | NPPES |
| New York | Other | P010006699 | BLUE CHOICE |
| New York | Other | 711384 | BLUE CHOICE |
| New York | Other | MD431J | BLUE CHOICE |
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